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	<title>严重患者补充表</title>
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		<ul class="mui-table-view font3">
			<li class="mui-table-view-cell">
				监护人姓名<span class="mui-pull-right supplementName"></span>
			</li>
			<li class="mui-table-view-cell">
				与患者关系<span class="mui-pull-right supplementRelation"></span>
			</li>
			<li class="mui-table-view-cell">
				监护人电话<span class="mui-pull-right supplementPhone"></span>
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			<li class="mui-table-view-cell">
				监护人地址<span class="mui-pull-right"></span>
				<p class="supplementAddress" style="margin-top: 0.2rem;color: #666;"></p>
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			<li class="mui-table-view-cell">
				辖区村（居）委会联系人<span class="mui-pull-right contactname"></span>
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			<li class="mui-table-view-cell">
				辖区村（居）委会电话<span class="mui-pull-right contactphone"></span>
			</li>
			<li class="mui-table-view-cell">
				户别<span class="mui-pull-right usertype"></span>
			</li>
			<li class="mui-table-view-cell">
				就业情况<span class="mui-pull-right work"></span>
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		</ul>
		<ul class="mui-table-view font3">
			<li class="mui-table-view-cell">
				知情同意<span class="mui-pull-right informed"></span>
			</li>
			<li class="mui-table-view-cell">
				初步发病时间<span class="mui-pull-right morbidity"></span>
			</li>
		</ul>
		<div class="detailTitle">目前诊断情况</div>
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			<li class="mui-table-view-cell">
				确诊症状<span class="mui-pull-right diagnosis"></span>
			</li>
			<li class="mui-table-view-cell">
				确诊医院<span class="mui-pull-right hospitalname"></span>
			</li>
			<li class="mui-table-view-cell">
				确诊日期<span class="mui-pull-right datetimes"></span>
			</li>
			<li class="mui-table-view-cell">
				最后一次治疗效果<span class="mui-pull-right effect"></span>
			</li>
		</ul>
		<ul class="mui-table-view font3">
			<li class="mui-table-view-cell">
				既往主要症状<span class="mui-pull-right"></span>
				<p class="symptom" style="margin-top: 0.2rem;color: #666;line-height: 0.5rem;"></p>
			</li>
			<li class="mui-table-view-cell">
				既往关锁情况<span class="mui-pull-right isbelock"></span>
			</li>
		</ul>
		<div class="detailTitle">既往治疗情况</div>
		<ul class="mui-table-view font3">
			<li class="mui-table-view-cell">
				门诊<span class="mui-pull-right select"></span>
			</li>
			<li class="mui-table-view-cell">
				首次抗精神病治疗时间<span class="mui-pull-right datetime"></span>
			</li>
			<li class="mui-table-view-cell">
				曾住精神专科医院/综合医院<br>精神专科次数<span class="mui-pull-right count"></span>
			</li>
		</ul>
		<ul class="mui-table-view font3">
			<li class="mui-table-view-cell">
				危险行为<span class="mui-pull-right"></span>
				<p class="mqSymptoms" style="margin-top: 0.2rem;color: #666;line-height: 0.5rem;"></p>
			</li>
		</ul>
		<ul class="mui-table-view font3">
			<li class="mui-table-view-cell">
				经济状况<span class="mui-pull-right economic"></span>
			</li>
			<li class="mui-table-view-cell">
				专科医生意见<span class="mui-pull-right opinion"></span>
			</li>
		</ul>
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